Chamber and committees

The number of whole time equivalent consultant dermatologists (excluding directors) employed by NHS Boards in each year since 2007 is set out as follows:

All acute NHS Boards have access to an NHS Staff Bank, with the majority of temporary cover coming from this. We have over 35,000 nurses and over 2,900 doctors registered on the NHS Staff Bank, which operate on a local and regional basis to provide high quality temporary cover.

Evidence shows that the majority of staff prefer to work locally, taking up extra shifts in their own or neighbouring Boards, so the case for a National Staff Bank is limited. Where however there is evidence of benefit, we have taken action such as establishing the Scottish Clinical Collaborative which allows retired Surgeons from all over Scotland and the UK, the opportunity to work in our remote and rural hospitals.

This information is not held centrally by either the Scottish Government or Information Services Division (ISD). In these circumstances the member may wish to contact NHS Boards to obtain this information.

Removals from the waiting list are published for both Outpatients and Inpatients/Day Cases at the following links. These figures are broken down by the category of removal into the following categories:

- Attended

- Referred Back to GP

- Transferred

- Treatment no longer required

- Other Reasons.

ISD do not hold information to further break down the Other Reason category to determine if this included undergoing treatment in the independent private sector

Figures for removals from the waiting list for Outpatients, by specialty, for NHS Scotland and NHS Boards are available in Table 1.4 at https://beta.isdscotland.org/media/3710/newop_feb20.xlsx

Figures for removals from the waiting list for Inpatients and Day Cases, by specialty, for NHS Scotland and NHS Boards are available in Table 2.4 at https://beta.isdscotland.org/media/3709/ipdc_feb20.xlsx

There are 10.2 WTE Dermatology Consultant vacancies across NHS Scotland as at December 2019.

The Scottish Government expects NHS Boards to have appropriate recruitment processes in place, and to have the correct mix and number of staff in place to provide safe and effective care for their patients, in accordance with their service provision responsibilities.

I refer the member to the answer to question S5W-27562 on 2 March 2020. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at http://www.parliament.scot/parliamentarybusiness/28877.aspx .

The National Statement on Caring for People in the Last Days and Hours of Life, was published in 2013.

The purpose of this National Statement was to communicate the key principles underpinning high quality palliative and end of life care. This was to support NHS Boards in developing relevant identification, assessment and care planning materials, policies and guidance for the provision of high quality palliative and end of life care following the phasing out of the Liverpool Care Pathway in 2014. As such, no evaluation has been made of this National Statement.

The Scottish Government is committed to ensuring that the people of Scotland who require stoma care services are able to receive the best possible care and support and benefit from healthcare services that are safe, effective and put the patient at the centre of their care.

On 16 December 2019, the Scottish Government published the first Integrated National Health and Social Care Workforce Plan in the UK. Developed in partnership with the Convention of Scottish Local Authorities, the Integrated Plan sets out how health and social care services will meet growing demand to ensure there is in place the right numbers of staff, with the right skills, across health and social care services. I therefore expect NHS Boards to develop robust workforce plans which take into account any potential need for more specialist stoma nurses.

In addition, the Health and Care (Staffing) (Scotland) Act will support the wider workforce planning process by enabling a rigorous evidence-based approach to staffing decisions. It recognises the dynamic nature of healthcare and places a duty on NHS Boards to assess and respond to staffing pressures in real time. The existing workforce methodologies cover the nursing workforce.

The Scottish Access Collaborative was created in October 2017 to sustainably improve waiting times for patients waiting for non-emergency procedures. It is working alongside NHS boards in Scotland to reduce waiting times, improve patient experience and develop responses to some of the main challenges facing the NHS. Chronic Pain is one of twelve specialties included in the Scottish Access Collaborative.

Three design workshops were held during 2018-19 aiming to understand the current Chronic Pain pathways, improve patient experience and suggest improvements for the services provided in the future. Patients and third sector groups participated in the workshops and contributed to the report, along with clinicians from the community, primary and secondary care. A report was published in summer 2019 and highlighted seven areas most likely to make a difference for people experiencing Chronic Pain, including ‘develop strong links between primary and secondary care in order to create a clear model of care’ and ‘allocate available resource to educate, train, supply and retain healthcare professionals with the right skills sets in the right places’.

Although there was multi-disciplinary representation from statutory and third sector services and patients at the Design workshops, only a fraction of the chronic pain community was able to participate at the time. Engagement with stakeholders, including third sector service providers and those with lived experience of chronic pain across Scotland, is underway to validate the report findings and identify the priorities to be taken forward; this is being led by the Modernising Patient Pathways Programme with the intention of achieving sustainable and effective service change. The Modernising Patient Pathways Programme has appointed a Clinical Lead with extensive experience of working in Specialist Pain clinics in secondary care services in Scotland and a GP Advisor to support this work.

Under the Equalities Act (2010), there is no requirement to carry out an Equalities Impact Assessment when establishing an internal improvement programme such as the Modernising Patient Pathways Programme or the Scottish Access Collaborative.

They will however often work with a host NHS Board to develop an EQIA when this is appropriate. The scope and nature of any such EQIA will be guided by the specifics of the individual improvement initiative.

The Scottish Government recognises the importance of clinical nurse specialist roles and their contribution to the care of the people of Scotland. As part of the Chief Nursing Officer's Transforming Nursing, Midwifery and Health Professionals programme, a review of the role definition and education of specialist nurses is nearing completion, with an intention to publish a report in Spring 2020.